Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.38 / $58.83 / $1,239.00	Facility		$45.38	$58.83	$1,239.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.38 / $58.02 / $85.03	Professional		$45.38	$58.02	$85.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $19.75 / $19.75	Facility		$19.75	$19.75	$19.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.57 / $301.66 / $2,014.52	Facility		$111.57	$301.66	$2,014.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.06 / $79.63 / $139.72	Professional		$55.06	$79.63	$139.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $166.32 / $1,653.45 / $1,653.45	Facility		$166.32	$1,653.45	$1,653.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $982.00 / $982.00 / $982.00	Professional		$982.00	$982.00	$982.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.45 / $84.49 / $211.20	Facility		$20.45	$84.49	$211.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $36.54 / $64.05	Professional		$19.75	$36.54	$64.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $36.69 / $153.65	Professional		$13.66	$36.69	$153.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.24 / $97.06 / $695.24	Facility		$22.24	$97.06	$695.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.06 / $79.50 / $139.72	Professional		$55.06	$79.50	$139.72
United Facility/Professional Professional Modifier Low / Median / High Price $78.52 / $106.60 / $163.06	Professional		$78.52	$106.60	$163.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $514.99 / $514.99 / $695.24	Professional		$514.99	$514.99	$695.24